Active NPI
Elizabeth Luketich, PA
- Physician Assistant
- Sioux Falls, SD
National Provider Identifier
1174092837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1684
- Practice address
- 1321 W 22ND St
Sioux Falls, SD 57105-1502 - Phone
- (605) 404-4000
- NPI assigned
- Nov 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 25MP00500000 | NJ | |
| Physician Assistant | 363A00000X | 1684 | SD | Primary |
| Surgical Physician Assistant | 363AS0400X | 4341 | CT |
Addresses
Primary practice location
1321 W 22ND St
Sioux Falls, SD 57105-1502
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other practice location 1
34 Engle St
Englewood, NJ 07631-2905
Phone (201) 886-7846
Other practice location 2
6 Greenwich Office Park
Greenwich, CT 06831-5151
Phone (203) 869-1145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1321 W 22ND St
Sioux Falls, SD 57105-1502
Phone (605) 328-1990
4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00500000 | NJ | MD | Orthopaedic Surgery Physician |
| 1684 | SD | MD | Vascular Surgery Physician |
| 024012 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic & Neurosurgery Specialists, PLLC | Orthopaedic Surgery | Past | Accepting new patients |
| KBS Medical New Jersey PC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Sioux Falls, SD
- NPI 1093090342
-
- Psychiatry Physician
- Hoboken, NJ
- NPI 1164123527
-
- Orthopaedic Surgery Physician
- Greenwich, CT
- NPI 1033318720
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sioux Falls, SD
- NPI 1821017880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777852800000",
"number": "1174092837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5074",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 W 22ND ST",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571051502",
"telephone_number": "605-404-4000"
}
],
"practiceLocations": [
{
"address_1": "34 Engle St",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "NJ",
"postal_code": "076312905",
"country_code": "US",
"telephone_number": "201-886-7846",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 Greenwich Office Park",
"address_purpose": "LOCATION",
"city": "Greenwich",
"state": "CT",
"postal_code": "068315151",
"country_code": "US",
"telephone_number": "203-869-1145",
"fax_number": "203-618-1721",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUKETICH",
"first_name": "ELIZABETH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-24",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "25MP00500000",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SD",
"license": "1684",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CT",
"license": "4341",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.